Stent treatment for huge aneurysm of the common hepatic artery: A case report

Zhakubayev, M.A.; Maruya, Yasuhiro; Takatsuki, Mitsuhisa; Baimakhanov, Zhassulan; Soyama, Akihiko; Hidaka, Masaaki; Adachi, Tomohiko; Sakomoto, Ichiro; Eguchi, Susumu

doi:10.1016/j.radcr.2018.09.008

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…1 Inflammatory markers are not elevated in SAM. 3,5,6 Our patient had a high erythrocyte sedimentation rate and C-reactive protein on presentation, suggesting vasculitis as the etiology of the aneurysms.…”

Section: Discussionmentioning

confidence: 74%

An Unusual Presentation of Segmental Arterial Mediolysis

Karna¹,

Kaye²,

Jagdish³

et al. 2022

ACG Case Rep J

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Segmental arterial mediolysis (SAM) is a rare nonatherosclerotic and noninflammatory disease that often affects medium to large-sized arteries. We report a case of SAM involving bilateral hepatic arteries in an elderly woman. Although her initial presentation mimicked vasculitis, the clinical course and imaging led to the diagnosis of SAM. She was treated with coil embolization and stenting of the involved hepatic vessel leading to dramatic clinical improvement. It should be differentiated from vasculitis because there is no role of steroids in the management of SAM.

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Section: Discussionmentioning

confidence: 74%

An Unusual Presentation of Segmental Arterial Mediolysis

Karna¹,

Kaye²,

Jagdish³

et al. 2022

ACG Case Rep J

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“…In one meta-analysis evaluating 80 cases, 359 out of 2845 visceral aneurysms were hepatic (12%), with an incidence of 0.01 to 0.2% [3,6]. HAAs are approximately 20% of splanchnic aneurysms and are at risk of rupturing when diameter exceeds 2 cm [10][11] There have not been enough cases to determine the best way to repair them -i.e. open vs. endovascularly.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the ruptured hepatic artery aneurysm was only diagnosed on exploratory laparotomy. Interestingly, pseudoaneurysms have an even higher risk of rupture [1,11].…”

Section: Discussionmentioning

confidence: 99%

Ruptured Hepatic Artery Aneurysm

Mirajkar

Walker

Gray

et al. 2020

Cureus

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Aneurysmal ruptures are a life-threatening pathology, and while the aorta is the principal location, any aneurysmal rupture can be fatal. Most result from chronic diseases, such as hypertension, diabetes, and vasculitis. Nevertheless, a rupture can result in acute decompensation and must be recognized and addressed quickly to limit morbidity and mortality. The authors describe a case of a 66-year-old female who presented to the emergency department (ED) for abdominal pain and syncope. Even though imaging did not explicitly show the specific site of rupture of the hepatic artery, the positive Rapid Ultrasound for Shock and Hypotension (RUSH) exam and aortic dissection on computed tomography angiography along with her clinical picture (hypotension, abdominal pain, decreased capillary refill, grey skin) raised our suspicions for critical pathology. Exploratory laparotomy revealed a ruptured hepatic artery aneurysm. Her hospital course was complicated by ischemic necrosis of the gallbladder, spleen, and liver, requiring cholecystectomy, splenectomy, and partial hepatectomy, but she was discharged to rehabilitation and expected to make a recovery. This case displays the importance of using ultrasonography early to aid in expedited diagnosis and treatment as well as maintaining a high suspicion for vascular pathology in the setting of hemorrhagic shock.

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“…Arterial pseudoaneurysms account for 25–80% of reported cases and usually occur after medically induced injury or penetrating or blunt liver injury, resulting in symptomatic presentation of these aneurysms ( 3 – 5 ). HAA is the second most common visceral aneurysm after splenic artery aneurysm ( 6 – 10 ). Most common cases of HAA were observed during the sixth decade of life, with a 3:2 male predominance ( 1 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Open Repair of Large Hepatic Artery Pseudoaneurysm Without Collateral Circulation: A Case Report

et al. 2022

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Hepatic artery pseudoaneurysm is a rare arterial disease. This case report describes a patient with hepatic artery pseudoaneurysm who presented with recurrent epigastric pain over a 4-month period. Computed tomography angiography (CTA) showed aneurysmal enlargement of the hepatic artery measuring 55 mm × 46 mm. The angiographic information is as follows: (1) the common hepatic artery originated from the superior mesenteric artery; (2) the proper hepatic artery originated from the common hepatic artery; (3) the proper hepatic aneurysmal disease had no collateral circulation. After careful consideration, the patient underwent an open surgical repair (OSR). The patient recovered well without any associated complications. The 1-year follow-up of patients did not reveal any relevant complications. The treatment choice, puzzles, and reflections of this case are all discussed in this article.

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Stent treatment for huge aneurysm of the common hepatic artery: A case report

Cited by 7 publications

References 7 publications

An Unusual Presentation of Segmental Arterial Mediolysis

An Unusual Presentation of Segmental Arterial Mediolysis

Ruptured Hepatic Artery Aneurysm

Open Repair of Large Hepatic Artery Pseudoaneurysm Without Collateral Circulation: A Case Report

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